Case Reports: Case Report
The report by Dalesio et al.1 describes a novel use of ultrasound to image the pediatric airway. Although there are no data to support its usefulness with regard to defining airway pathology, this technique offers a number of potential possibilities.
In view of the frequent incidence of airway events leading to anesthesia morbidity and mortality,2–6 techniques that may noninvasively diagnose airway pathology as well as possibly obviate the need for general anesthesia to assist in the airway evaluation should be seen as a welcome addition.
While it is still too early to determine the role of ultrasound in the evaluation of the pediatric airway, if it has a similar course to its role in establishing venous access and improving the success of regional anesthesia, it will only be a matter of time before its true applicability for airway management is known.
Peter J. Davis, MD
Dr. Joseph H. Marcy Endowed Chair
in Pediatric Anesthesia
Children's Hospital of Pittsburgh
Professor of Anesthesiology & Pediatrics University
of Pittsburgh School of Medicine
Children's Hospital of Pittsburgh of UPMC
One Children's Hospital Drive
4401 Penn Avenue
Pittsburgh, PA 15224
1. Dalesio NM, Kattail D, Ishman SL. Ultrasound use in the pediatric airway: the time has come. Anesth Analg. 2014;2:23–6
2. Murat I, Constant I, Maud’huy H. Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period. Paediatr Anaesth. 2004;14:158–66
3. Bhananker SM, Ramamoorthy R, Posner KL, Domino KB, Morray JP. Changing profile of anesthesia-related cardiac arrests in children: update from Pediatric Perioperative Cardiac Arrest (POCA) Registry [abstract]. Anesthesiology. 2005;103:A1310
4. Cohen MM, Cameron CB, Duncan PG. Pediatric anesthesia morbidity and mortality in the perioperative period. Anesth Analg. 1990;70:160–7
5. Morray JP, Geiduschek JM, Ramamoorthy C, Haberkern CM, Hackel A, Caplan RA, Domino KB, Posner K, Cheney FW. Anesthesia-related cardiac arrest in children: initial findings of the Pediatric Perioperative Cardiac Arrest (POCA) Registry. Anesthesiology. 2000;93:6–14
6. Morray JP. Anesthesia-related cardiac arrest in children: an update. Anesthesiol Clin North Am. 2002;20:1–28